All citations for Tonganoxie Terrace

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Tonganoxie Terrace

Last standard health inspection on record

January 29, 2026

Showing 1 to 25 of 57 citations

  1. Harm to a resident

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of January 29, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 28, 2026).

  2. No harm, with potential for more than minimal harm

    The resident has the right to receive notices in a format and a language he or she understands.

    Widespread (many residents). CMS level F.

    Health citation F-0574, Resident Rights Deficiencies. Inspection of January 29, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 28, 2026).

  3. No harm, with potential for more than minimal harm

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

    Widespread (many residents). CMS level F.

    Health citation F-0577, Resident Rights Deficiencies. Inspection of January 29, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 28, 2026).

  4. No harm, with potential for more than minimal harm

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

    Widespread (many residents). CMS level F.

    Health citation F-0838, Administration Deficiencies. Inspection of January 29, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 28, 2026).

  5. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of March 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 3, 2024).

  6. No harm, with potential for more than minimal harm

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Widespread (many residents). CMS level F.

    Health citation F-0947, Nursing and Physician Services Deficiencies. Inspection of March 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 3, 2024).

  7. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of September 7, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 21, 2022).

  8. No harm, with potential for more than minimal harm

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Widespread (many residents). CMS level F.

    Health citation F-0868, Administration Deficiencies. Inspection of September 7, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 21, 2022).

  9. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of September 7, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 21, 2022).

  10. No harm, with potential for more than minimal harm

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Widespread (many residents). CMS level F.

    Health citation F-0882, Infection Control Deficiencies. Inspection of September 7, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 21, 2022).

  11. No harm, with potential for more than minimal harm

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of January 29, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 28, 2026).

  12. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of January 29, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 28, 2026).

  13. No harm, with potential for more than minimal harm

    Have a plan that describes the process for conducting QAPI and QAA activities.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0865, Administration Deficiencies. Inspection of January 29, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 28, 2026).

  14. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of January 29, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 28, 2026).

  15. No harm, with potential for more than minimal harm

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0883, Infection Control Deficiencies. Inspection of January 29, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 28, 2026).

  16. No harm, with potential for more than minimal harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of March 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 3, 2024).

  17. No harm, with potential for more than minimal harm

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of March 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 3, 2024).

  18. No harm, with potential for more than minimal harm

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of March 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 3, 2024).

  19. No harm, with potential for more than minimal harm

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0580, Resident Rights Deficiencies. Inspection of September 7, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 21, 2022).

  20. No harm, with potential for more than minimal harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of September 7, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 21, 2022).

  21. No harm, with potential for more than minimal harm

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of September 7, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 21, 2022).

  22. No harm, with potential for more than minimal harm

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0883, Infection Control Deficiencies. Inspection of September 7, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 21, 2022).

  23. No harm, with potential for more than minimal harm

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0887, Infection Control Deficiencies. Inspection of September 7, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 21, 2022).

  24. No harm, with potential for more than minimal harm

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0694, Quality of Life and Care Deficiencies. Inspection of June 23, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 25, 2026).

  25. No harm, with potential for more than minimal harm

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0740, Quality of Life and Care Deficiencies. Inspection of June 3, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 9, 2026).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.